"No-shpa" during pregnancy, 3rd trimester: indications, dosage, reviews

2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21

It is not recommended to take any drugs during pregnancy, but sometimes you cannot do without medicines. In such cases, doctors can prescribe medications to the woman that have the least adverse effect on the fetus. Among these drugs is "No-shpa". However, can we be sure that the use of "No-shpa" during pregnancy in the 3rd trimester will not harm the baby? Let's figure it out.

When is "No-shpu" used?

Everyone knows that "No-shpa" from a headache during pregnancy has been used for a long time. However, is it really that effective? In what conditions is this drug generally used?

The active substance of the drug is drotaverine. It is sold in pure form. Its function is to relieve spasm from the muscles, reduce the tone of smooth muscles, reduce their motor activity and have an expanding effect on the blood vessels.vessels.

"No-shpa" from a headache during pregnancy is actively recommended by doctors. However, not everyone is of the opinion that it is safe for the mother and fetus. There is evidence that after taking the drug, toxicosis increases, appetite worsens, weakness increases and heart rate increases. Experts conclude that it is necessary to be very careful when taking this remedy.

Action "No-shpy"

The use of "No-shpy" during pregnancy in the 3rd trimester may be due to the need to reduce the excitability of the uterus. In addition, the drug is used to relieve cervical spasm during childbirth.

The effect of the drug on the body of a pregnant woman is as follows:

• decrease in uterine tone;
• decreased contractile activity of uterine smooth muscle;
• normalization of blood supply to organs.

However, the use of "No-shpy" during pregnancy is not limited to gynecological indications. Very often it is prescribed to relieve pain in chronic diseases of the gastrointestinal tract in the acute stage, as well as in violation of the bile ducts and blood vessels.

The expediency of taking the drug during pregnancy is due to a change in hormonal levels, which, in turn, can exacerbate a woman's chronic diseases. This can also be caused by a change in the location of internal organs due to an increase in the size of the fetus.

"No-shpa" in early pregnancy

Early pregnancysome women are prescribed the drug in the form of injections. No-shpy injections help relieve uterine tone, which is observed when there is a threat of miscarriage. Therefore, this drug helps to relax the muscles, and this, in turn, is dangerous in later periods, as it can cause premature labor.

Among other pain syndromes, No-shpy injections are used for the following diseases:

• cholecystitis;
• cholangitis;
• gastritis;
• colitis;
• gastric and duodenal ulcer;
• enterocolitis;
• cystitis;
• jade;
• pyelitis.

In these diseases, taking medication as an anesthetic is possible only after a detailed consultation with a doctor. After all, the removal of symptoms can, on the contrary, aggravate the clinical picture of the disease.

"No-shpa" during late pregnancy

Despite the danger of using the drug in the later stages, it is still prescribed in some situations. For example, "No-shpa" during pregnancy before childbirth helps to prepare the birth canal for the passage of a child through them. It has a relaxing effect on the muscles of the uterus, which contributes to its faster opening and facilitating the process.

Some experts believe that the action of "No-shpa" before childbirth helps to reduce the pain of contractions, makes the birth period shorter and prevents the occurrence of gaps. All thiseases the position of the child and helps him pass through the birth canal less painfully.

"No-shpa" during pregnancy in the 3rd trimester has another use. Usually, closer to the scheduled date of birth, a woman may experience training contractions. To be sure that these sensations are false and not true, it is recommended to take a couple of No-shpy tablets.

After some time it will be possible to understand the authenticity of the contractions. If they were training, then the pain will subside. But if these are real labor pains, then taking pills will not change the situation.

Tablet form

In the instructions for use for No-shpe, the dosage of tablets is indicated from 80 to 240 mg per day. The optimal dosage is determined by the doctor. Usually prescribed 1-2 tablets three times a day.

In the instructions for use, the dosage of "No-shpy" in tablets varies depending on the pain syndrome that needs to be neutralized. The minimum dosage is 80 mg, so 2 tablets are most often taken (40 mg are available).

Injections

Usually, to achieve the effect faster, especially in emergency situations, "No-shpu" is used in the form of injections. The instructions for No-shpy injections state that this dosage form is suitable for those patients who have lactose intolerance. It is she who is contained in the tablet form of the drug.

In the instructions for No-shpy injections, the intramuscular dosage of the drug is indicated from 40 to 240 mg per day. Although the dosage of injections does not differ fromdosages of tablets, the effect of the drug administered intramuscularly occurs much faster. This plays an important role in emergency situations, such as a threatened miscarriage or rapid labor.

Usually, during labor, 40 mg of the drug is administered as a single dose. If necessary, this manipulation is repeated after a few hours. In some patients, the relaxing effect of "No-shpa" contributes to a more rapid opening of the cervix. In addition, the process itself is less painful, which allows you to save energy for the decisive moment.

When the muscles are relaxed under the action of an antispasmodic, the likelihood of tissue and mucous membrane ruptures is much less.

The downside of the use of "No-shpy" in injections is the formation of painful seals, which are called "infiltrates". They occur at the injection sites, since the drug is administered intramuscularly. However, do not worry, as the infiltrates resolve within a few months.

Time to remove a substance from the body

Like any other drug, "No-shpa" is removed from the body after some time. Absorbed fairly quickly. After about an hour, the concentration of the drug in the blood reaches its maximum.

The active substance "No-shpy" is able to bind to plasma proteins. In addition, the drug is metabolized in the liver. The time for complete elimination of metabolites by the kidneys is 72 hours.

How long does "No-shpa" last? Since the drugabsorbed quickly enough, it begins to act after 10-15 minutes.

Effect on fetus

"No-shpa" during pregnancy in the 3rd trimester can have some effect on the baby, but this drug does more harm to the mother. By the way, in some European countries this medicine is generally prohibited.

Studies have been conducted, during which it was found that with long-term use of the drug in children, developmental delays were observed. The most noticeable negative consequences are speech problems in babies.

The use of "No-shpy" during pregnancy in the 3rd trimester in the reviews of women is indicated as a useful method. Women who used this drug as prescribed by a doctor note that it relieves pain of various etiologies well. However, it should be taken with caution and only after consulting a doctor.

Does No-shpa hurt?

This drug, like any other, has its contraindications for use.

• "No-shpa" during late pregnancy can cause premature birth.
• If a woman has problems with the kidneys, heart, liver or blood pressure (in particular, if it is lowered), then the drug is not recommended.
• Allergic reactions to the active substance of the drug or to auxiliary components may occur.

Due to the presence of the contraindications listed above, the dosage of "No-shpy" during pregnancy in the 3rd trimester is set only by a doctor. He also definesthe appropriateness of using this drug in each case.

In addition to the fact that during the period of bearing a child, this medicine can increase toxicosis, reduce appetite, cause weakness and heart palpitations, in some cases it can cause postpartum hemorrhage. Therefore, the use of "No-shpy" or drotaverine in its pure form during labor is undesirable or should be under the constant supervision of a doctor. Due to the ability of the drug to relax the smooth muscles of the organs, the uterus does not contract after childbirth, which causes unwanted bleeding in the postpartum period.

Studies have shown that the drug does not have an irreversible negative effect on the fetus during pregnancy. However, some European countries do not practice taking the drug during the period of bearing a child - their studies show that in children there is a delay in speech development in the future. Domestic researchers do not provide such data.

Another advantage of the drug is its ability to normalize the child's cardiac activity. Women who were diagnosed with tachycardia in the fetus, this drug was administered in the form of injections. According to the ultrasound examination, the pathology was neutralized.

Side states

If a pregnant woman has not previously observed negative consequences in herself after taking "No-shpa", then with the onset of pregnancy, everything can change. Therefore, it is important to know what side effects cancause the drug to be taken. Among them:

• hypotension (low blood pressure);
• palpitations (tachycardia);
• abnormal heart rhythm (arrhythmia);
• dizziness;
• headaches;
• insomnia or drowsiness;
• digestion disorders (nausea, vomiting, constipation, diarrhea);
• skin reactions (itching, rash, irritation);
• angioneurotic edema (very rare).

"No-shpa" and "Papaverine": combined use

So, it was already mentioned above how long the "No-shpa" works. To enhance its effect, the drug is usually prescribed together with Papaverine.

Both "No-shpa" and "Papaverine" are quite well-known and effective medicines. They have long been at the top of the list for pain relief.

"No-shpa" is a myotropic antispasmodic, that is, it affects muscle spasms. By removing them and relaxing the smooth muscles, it thereby removes pain. It acts quite quickly, but still, in some cases, its use is accompanied by the intake of "Papaverine".

Often, pregnant women are prescribed additional medicine in suppositories, as this is the safest way to administer. In addition, when using rectal suppositories, the absorption of the drug is better and faster. At the same time, "No-shpu" is prescribed in tablets or injections. Undoubtedly the fastest action from an injection.

As for the dosage, it is usually 2 "No-shpy" tablets 3 times a day and one rectal suppository "Papaverine" also up to three times a day. Compatibility of drugs is evaluated only by a doctor. Self-administration can harm both mother and baby. The most common unpleasant consequences are preterm labor or, on the contrary, too slow labor due to the relaxing effect of antispasmodics on the cervix.

Analogues of "No-shpy" during pregnancy

Every woman is different, and tolerance to drugs is different for everyone. This may affect the specificity of drug therapy for pain syndrome. Despite the fact that "No-shpa" is a universal drug that suits almost everyone, rare reverse cases are also observed. In such situations, it is necessary to replace the medicine. Suitable for this:

• "Drotaverine".
• "Droverine".
• "Spasmol".
• "Bioshpa".
• "Spascoin".
• "Vero-Drotaverine".
• "Nosh Bra".

If "No-shpa" is a drug that has been proven over the years and does not pose a danger to a pregnant woman, then the analogues listed above should be taken only after consulting a doctor. Replacement of the drug is not allowed without consulting a specialist, especially if a woman is expecting a baby - in this situation it is very dangerous.

Reception "But-shpy" is not a teratogenic factor during pregnancy. That is why the drug is so common in medical practice. However, if it is possible to relieve pain without taking medication, then it is better to use it.

If a woman has no contraindications for taking this drug, then it can be safely taken after consulting a doctor who will prescribe the necessary dosage. Usually in the first trimester, it is prescribed as part of therapy aimed at maintaining pregnancy. However, it may also be used for the symptomatic elimination of toothache or headache. But the use of the drug, starting from the second trimester of pregnancy, is usually carried out only in a hospital. This is necessary to prevent negative consequences and quickly stop emergency situations.